Quality Assurance Coordinator

Hackensack Meridian Health•Edison, NJ

17d

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Quality Assurance Coordinator evaluates patient care quality by using approved indicators and established parameters, documents reviews and findings, analyzes data for trends, and generates reports. The Quality Coordinator has the primary responsibility for data abstraction and management of clinical quality measures for CORE measures, PSIs, etc. This includes format design for data collection, data interpretation and data display. This position also supports the medical staff quality program and medical staff quality review committees and requires effective communication and collaboration with medical, clinical and ancillary staff. Additionally, this position assists with accreditation and certification preparation/compliance as well as other quality initiatives in sustaining the organization's performance improvement plan. NOTE: The Quality Assurance Coordinator/NDNQI has the primary responsibility for data abstraction and management of clinical quality measures for NDNQI and other Disease Specific Certifications. This position also supports the nursing quality program and other hospital quality review committees and requires effective communication and collaboration with medical, clinical, and ancillary staff.

Requirements

Minimum of 5 years diverse acute care hospital clinical experience,
Familiarity with regulatory requirements: TJC, CMS, NJDOH.
Working knowledge of PI methodologies and statistical processes.
Computer literacy, working knowledge of performance improvement and statistical processes, ability to prepare charts, graphs, etc.

Nice To Haves

BS, allied health professional with quality background may be considered.
Minimum of 1 year quality management experience.
NJ State Professional Registered Nurse License.

Responsibilities

Conducts appropriate reviews to assess compliance with regulatory standards and abstracts data with minimal error.
Conducts pertinent, accurate chart review process by providing reviews, data, trends and other documentation as may be needed.
Identifies quality measure trends and improvement opportunities.
Designs PI studies/reviews, develops criteria and evaluates outcomes.
Prepares and presents relevant reports/data in clear, appropriate format that facilitates understanding.
Prepares accurate quarterly and annual department reports.
Attends and facilitates meetings including preparation of agendas and minutes
Makes independent decisions within scope of work and apprises Director of pertinent issues, relays necessary information and provides updates on outstanding issues
Maintains current knowledge of clinical quality measure requirements (NDNQI, JC Quality Measures, etc) and other regulatory standards (TJC, CMS, NJDOH) that apply and has solid understanding of specification manuals.
Completes processes/reports for performance improvement trends, techniques, tools and statistical control to ensure regulatory compliance and ability to identify variances.
Researches & identifies internal/external benchmarks to accurately compare quality outcomes and produce comparative analyses.
Produces high quality 'committee ready' PI and trend reports using Nuance, GWTG, NDNQI and Excel databases.
Conducts thorough and timely mock survey inspections.
Prepares survey reports and communicates findings effectively, identifying any trends.
Effectively participates in survey preparation and conduct of survey visit
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.